Individual ProviderMolly C WilsonPharmacistPharmacy Service ProvidersPractice Address12359 Georgia Ave, Silver Spring, MD 20906-3605(724) 454-7786PECOS EnrollmentBased on the most recent information from CMS, provider Molly C Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053729715Provider TypeIndividualFull NameWilson, Molly CTitleDr.CredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date7/25/2014Last Updated2/3/2015Contact InformationPractice LocationPractice Address12359 Georgia Ave, Silver Spring, MD 20906-3605Phone(724) 454-7786FaxUnlisted FaxMailing LocationMailing Address12359 Georgia Ave, Silver Spring, MD 20906-3605PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense22430Maryland